Presentation for the Brazilian Federal Council for Medicine on public - - PDF document

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See discussions, stats, and author profiles for this publication at: https://www.researchgate.net/publication/327781106 Presentation for the Brazilian Federal Council for Medicine on public campaigns ad patient advocacy Presentation September

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SLIDE 1 See discussions, stats, and author profiles for this publication at: https://www.researchgate.net/publication/327781106

Presentation for the Brazilian Federal Council for Medicine on public campaigns ad patient advocacy

Presentation · September 2018 CITATIONS READS

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1 author: Some of the authors of this publication are also working on these related projects: Public campaigns and patient advocacy View project Valeria Guimaraes ENNE-ENDOCRINOLOGIA E NEFROLOGIA 30 PUBLICATIONS 1,121 CITATIONS SEE PROFILE All content following this page was uploaded by Valeria Guimaraes on 20 September 2018. The user has requested enhancement of the downloaded file.
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Endocrinologia e seus ciclos

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 Um grupo de endocrinologistas que decidiu educar

sua comunidade......

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Activities for Patients Public Campaigns

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Activities for Patients

Diabetes technology / Islets

  • f

Langerhans transplants

Alberto Hayek , MD (San Diego)

Everything you wanted to know about growth hormone (GH) and never had the opportunity to ask

Berenice Mendonça, Ana Claudia Latrônico, Ivo Arnhold (University of Sao Paulo)

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Diabetes technology

Islets

  • f Langerhans

Transplants

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Everything you wanted to know about GH (Growth Hormone) and never had the opportunity to ask

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SBEM and the Public Sector Public Campaigns

SBEM (Brazilian Society of Endocrinology and Metabolism)

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National day dedicated to adequate nutrition and ideal weight

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Public Campaigns

The T connection - 1999 The D connection - 2000 National day dedicated to adequate nutrition and ideal weight - 1999

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The T Connection Project

The relationship between the Thyroid and ERT (Menopause) SB SBEM EM - DF DF

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The D Connection Project

The relationship between the thyroiD and Dyslipidemia

SBEM M - DF DF SBEM M - GO GO SBEM M - MG MG

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Objectives

  • 1. Present the evidence of thyroid diseases in

discussions with the general public and physicians who are not specialists in the area. Emphasis of the discussion will be hypo/ hyperthyroidism.

  • 2. Teach how to do a self-examination.
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Procedures

Materials needed : Glass of water and preferably a mirror with a handle

The Self- Examination

  • 1. Hold the mirror and find the area under the Adam’s Apple on

your neck. Your thyroid gland is located there.

  • 2. Bend your head back so that the region is more exposed.

Bring the mirror close to the area.

  • 3. Drink and swallow some water.
  • 4. When you swallow the thyroid will move up and down.

Observe to see if there are any protuberances or nodules

  • n the thyroid. Do not mistake the thyroid for the Adam’s
  • Apple. Repeat the procedure various times until you are sure

you have examined the area carefully.

  • 5. If there are any protuberances see your endocrinologist.
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Purposes

  • a. To understand that we all have a thyroid gland.
  • b. To locate its position in the cervical region
  • c. To understand that symptoms may be related to a dysfunction.

d. To understand that diagnosis and treatment should be done by an endocrinologist.

  • e. Through education the proper authorities can be asked to resolve

problems related to the dysfunction.

The Self- Examination

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Materials and Methods

1) Awareness groups

  • Doctors/medical students
  • Newsmedia/ newspapers, radio and television
  • Private sector (health plans/drugstores/car dealers etc..)
  • Clinics and laboratories
  • Federal District government agencies
  • Religious groups, volunteers, scouts, etc...
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Materials and Methods

2) Identification of the public to be targeted Women over 40 : creation of public opinion (T) Men (D) Locations: Drugstores, churches, newspapers, gas stations, supermarkets, central bus station, city parks

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Materials and Methods

3) Indirect means of disbursing information

  • Pamphlets
  • News media: newspapers, radio and television
  • Institutional propaganda:the self-examination
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An actress shows how to do the self- examination ( click inside the square) First propaganda

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An actress shows how to do the self- examination ( click inside the square) Second propaganda

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The T Connection Pamphlet

Life is like a butterfly, beautiful and delicate

FRONT AND BACK PAGE

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The D Connection Pamphlet

FRONT PAGE

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The Pamphlet

Protect your life A simple thyroid check can save it ! Explanations on the importance

  • f the Thyroid

Symptoms of hypo and hyperthyroidism

(Inside)

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The T connection

Thyroid diseases in women Thyroid diseases in men and children Inside ( Variable part depending on the theme)

Pamphlet

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The D Connection

The thyroid and excess fat in the blood The diagnosis and treatment

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Materials and Methods

4) Indirect means of discussing the problem Iodine in the salt of Brazil Neonatal Screening Subclinical Hypothyroidism

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The Campaign in the streets Setting up for Thyroid Examinations

At the information center people fill

  • ut a

questionnaire before the thyroid

  • examination. The

self- examination is taught to the public.

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The Questionnaire

The questionnaire asks questions related to personal information, medical past history, possible symptoms, and where they heard about the campaign.

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The campaign is set up in various public locations such as in supermarket parking lots and bus stations.

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The Campaign

Our first lady learning the self- examination

The public is examined by various members (Endocrinologists and students ).

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The self- examination is taught to women and men alike

The Campaign

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Results of the T Connection

Approximately 3500 examinations were performed. 35% showed morphological alterations: more than half of these with dysfunctions.

  • Lists of endocrinologists at SBEM (Phone # and

Society home page address were distributed) .

  • Results of the study were distributed to various

entities including the Endocrine Society, AACE, ATA, the World Health Organization and the Ministry and Secretaries of Health.

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Results

The society receives a thank you letter from a woman who had a thyroid nodule discovered in a supermarket parking lot . She saw her specialist in time (Papillary Cancer). She pleads with the society to continue and intensify its work.

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...... “Quero principalmente agradecer à Deus que guiou aquela senhora que deu o panfleto à minha sobrinha e aos idealizadores e organizadores da campanha realizada. Este ano ela se realizará novamente em Agosto, no dia 26, não poderei participar pois estarei viajando, mas esteja

  • nde estiver, estarei apoiando-a

fervorosamente e espero que ela se repita todos os anos e ajude várias pessoas assim como me ajudou.”

REGINA AMÉLIA PINHEIRO GALVÃO. Em 18 de agosto de 2000. A woman receives a pamphlet in a church from a complete stranger about the need to do the self- examination and decides to do the exam. She finds nodules and later was diagnosed as having thyroid cancer .

Results: Supporting a healthy life.

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Carta ministério público

Results

The attorney general requests information about the iodine problem in salt.

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Results

“A amarga tragédia do sal” , Correio Braziliense, 10/30/99 A local newspaper pressures the Ministry of Health to determine why some salt had a low iodine content.

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Results

“Under Investigation” The headlines of the newspaper ask for

an explanation from the Minister of Health Correio Braziliense, 10/28/99

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Results

“Six months for an emergency : The Ministry of Health has ignored earlier warnings” Correio Braziliense, 10/27/99

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Results

“The Minister of Health warns the manufacturers of salt that they will be shut down if they don’t place the correct amount of iodine in their product.” Correio Braziliense, 10/29/99

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Results

“The Ayrton Senna journalism award is given to the newspaper for its series of articles exposing the iodine deficiency in salt and its consequences” Correio Braziliense, 03/22/00

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Jornal de Brasília 29/8/00

Respect and improved credibility

The organizers receive the congratulations of the news media for volunteer work

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Respect and improved credibility

The Brazilian Medical Association congratulates the

  • rganizers of the campaign
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Who is being helped by the campaign?

  • General public - patients
  • Supporters of the campaign
  • News media
  • Analytical Laboratories
  • Ultrasound clinics
  • Nuclear medicine clinics
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SBEM

Who was helped?

  • Improved credibility and respect
  • Medical Speciality
  • More patients for Endocrinologists

(Endocrinologists are heading for private practice and

leaving health insurance links)

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Revista Foco, 50 ed. 11/99

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Vicente Nunes Correspondente Internacional CB-NY

O trabalho foi selecionado como um dos seis melhores abstracts do ATA

Washington 12 a 15 de Setembro de 2001

SB SBEM EM - DF DF

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11 de Setembro de 2001

SB SBEM EM - DF DF

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Estratégia Global sobre Dieta, Atividade Física e Saúde da Organização Mundial de Saúde Relatório do Grupo de Apoio Técnico do Ministério da Saúde

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1.O Projeto Escola Saudável – uma programa co-patrocinado pela Sociedade Brasileira de Endocrinologia, a Sociedade Brasileira de Pediatria, a Socied

Sociedade Brasileira de Endocrinologia e Metabologia Sociedade Brasileira de Pediatria Associação Brasileira para o Estudo da Obesidade Observatório de Políticas de Segurança Alimentar e Nutrição da Universidade de Brasília

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Uma escola no Estado do Rio de Janeiro que adotou o Projeto Escola Saudável em 2005.

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Senado Brasileiro: Sessão para discussão da relação entre publicidade de alimentos, saúde e obesidade infantil (Junho 12/2007). A audiência foi requisitada pela Senadora Kátia Abreu Comitê Global de Saúde Endocrinológica Estratégica da Sociedade Internacional de Endocrinologia

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Promulgada PEC que flexibiliza uso de radioisótopos para fins médicos

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Reconhecimento

CBEM-SBEM/SP CBEM-SBEM/PE

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“Volunteers are not paid - not because they are worthless, but because they are priceless”

Eleanor Roosevelt

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OBRIGADA !

+

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Luciana Silva Célio Sousa Carmensita Corso Marcelo Alvim Todos os sócios da SBEM-DF +

Sou eternamente grata:

+

Minha Família

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